Texas Providers

Claims overview

Filing your claims should be simple. That’s why Wellpoint uses Availity, a secure and full-service web portal that offers a claims clearinghouse and real-time transactions at no charge to healthcare professionals. You can use Availity to submit and check the status of all your claims and much more at www.availity.com .

Don’t have an Availity account?

More resources

Electronic Data Interchange

Electronic data interchange (EDI) is the computer-to-computer exchange of business documents in a structured format. EDI provides a faster and cleaner method for delivering time-dependent data, saving you time compared to filing paper claims.

Provider disputes

You have the right to request an appeal of a claim decision. You may request this appeal on your own behalf or on behalf of a covered individual.

Reimbursement policies

Policies outlining the basic terms for reimbursement of services covered under our members’ benefit plans. Also, definitions for terms used in the policies and a disclaimer for the policies’ use.

Provider tools & resources

Interested in becoming a provider in the Wellpoint network?

We look forward to working with you to provide quality services to our members.